FAHMIDA KHATOON (PA) – Physician Assistant, NPI 1891938619
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for FAHMIDA KHATOON (PA)
9921, Southwest Highway, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States
OAK LAWN, IL 604533754
Phone: (708) 488-5678
Type: Mailing
2734, West 87th Street, Ashburn, Chicago, Lake Township, Cook County, Illinois, 60652, United States
CHICAGO, IL 606523937
Phone: (773) 918-4700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,089.
Total Amount is formed as General ($1,089) + Research ($0) + Ownership ($0) = $1,089.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($291).
Total Amount
$1,089
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,089
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-05-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090520000070 | I | Physician Assistant | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60453)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| - | IL | |
| Gastroenterology, Internal Medicine | CA | |
| Gastroenterology, Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| Nurse Practitioner | IL |
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